Congressional Commendations

As a Member of Congress, it is my privilege to be able to officially recognize outstanding public achievements by the people who live in the 50th Congressional district of California. Please fill out the following form.

Appointment to public office
Election to public office
Awards or honors
Citizenship
Eagle Scout
Gold Star
Graduation
Heroism
Military academy appointment
Other achievements of public distinction

Commendations and Greetings

Note: Fields marked with an * are required.

Your

Prefix

First Name *

Last Name *

Suffix

Street Address *

Street Address Continued

City *

State *

Zip Code *

Email *

Telephone

Phone Number *

Phone Type

What are these Options?

This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Honoree Information

Honoree Prefix

First Name of Honoree *

Last Name of Honoree *

Honoree Suffix

Honoree's Street *

Honoree's City *

Honoree's State *

Honoree's Zip Code *

Occasion *

Exact Date of Occasion *

Please provide other necessary information

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